Professional Optical LLC
NPI 1790846533 · Eyewear Supplier · Petoskey, MI
Enrolled with Medicare as Dme Supplier - Optician · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Professional Optical LLC is a Eyewear Supplier organization in Petoskey, MI (NPI 1790846533).
Provider details
- NPI number
- 1790846533
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- David Dziak, Member(231) 487-0171
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-12-13
- Last updated
- 2008-07-17
Frequently asked questions
- What is Professional Optical LLC's NPI number?
- Professional Optical LLC's National Provider Identifier (NPI) is 1790846533, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Professional Optical LLC?
- Professional Optical LLC is classified in the NPPES registry as Eyewear Supplier (Suppliers).
- Where is Professional Optical LLC located?
- Professional Optical LLC's practice location on file with NPPES is 560 W Mitchell St, Petoskey, MI 49770-2275.
- What is Professional Optical LLC's phone number?
- The practice phone number listed in the NPPES registry for Professional Optical LLC is (231) 487-0171.
- Does Professional Optical LLC accept Medicare?
- Professional Optical LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Professional Optical LLC?
- The authorized official listed on Professional Optical LLC's NPPES record is David Dziak, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Professional Optical LLC's NPI active?
- Yes — Professional Optical LLC's NPI (1790846533) is active in the NPPES registry as of the last update on 2008-07-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.